SIU Investigator
Centene Corporation · United States · US
Other
Remote/Hybrid — check advert
Not yet analysed
Demand78
Career growth68
Healthcare fit64
Remote potential55
Salary band
USD 56k – 101k
5-year outlook
Posted salary range is $56.2K-$101K. With FWA certifications and payer investigation experience, this can progress toward senior investigator or program integrity management, though growth may be slower without audit or claims credentials.
Clinical license
Not required
Applicant reach
moderate
Seniority
mid
Employment type
full-time
Date found
2026-11-06
Intelligence details
Flexible work details
- Engagement type
- Permanent
- Hours
- Full-time
- Eligible countries
- United States
- License jurisdiction
- US
- Rate period
- Annual
Why this was classified this way
- part-time
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth considering for clinicians with claims review, coding, compliance, quality audit, or case review exposure who want payer-side program integrity work. Pure clinicians without investigative or audit experience may struggle against the required 2+ years.
Who should apply
Nurses with utilization review, case management, or quality experience; pharmacists with claims or audit exposure; physicians with coding, documentation, or compliance interest; allied health professionals with billing/audit backgrounds; IMGs with healthcare documentation or compliance experience.
CV angle
Frame real clinical documentation review, chart audits, quality/compliance projects, billing/coding familiarity, and report-writing as evidence of medical record analysis, claims review, and FWA detection. Do not claim investigative experience not held; emphasize transferable audit, documentation, and compliance skills.
Skills to highlight
- Medical record review
- Healthcare claims analysis
- Billing and coding (CPT/ICD)
- Fraud, waste, and abuse (FWA) detection
- Investigative report writing
- Regulatory compliance
- Stakeholder collaboration
- Data and trend analysis
Role summary
Payer-side Special Investigations Unit role reviewing claims, medical records, billing, provider data, and financial records to detect and document healthcare fraud, waste, abuse, overpayments, and compliance concerns. Coordinates with legal, compliance, payment integrity, and external agencies.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.